John C Medlen, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

12924 Issued in AZ

Practice address

1701 W St Mary'S Rd
Suite 145
Tucson, AZ 85745-2683

Phone

(520) 624-0888

Fax

(520) 624-0091

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John C. Medlen, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Tucson, AZ
  • NPI 1154945194
  NPD Authorized official
• Pima Orthopedic Physicians LLC

  • Orthopaedic Surgery Physician
  • Tucson, AZ
  • NPI 1760662266
  NPD Authorized official
• Pima Orthopedic Physicians LLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1699443994
  NPD
• Northwest Hospital LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Tucson, AZ
  • NPI 1922604123
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1902871585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W ST MARY'S RD",
            "address_2": "SUITE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452683",
            "telephone_number": "520-624-0888",
            "fax_number": "520-624-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W ST MARY'S RD",
            "address_2": "SUITE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452683",
            "telephone_number": "520-624-0888",
            "fax_number": "520-624-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEN",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "12924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236069",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Services of Southern Arizona
• Medical Transportation Company of Tucson, LLC
• Medifast Tucson Com Incorporated
• Jessica Angelica Medina
• Roberto Carlos Medina Jr., PTA
• Sue M Medlen, NP
• Meggan Anne Medley, D.C., PMHNP
• Shawn Medley, D.C.
• Leeaat Mednick, D.D.S.
• Medone Healthcare, LLC

• Orthopaedic Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.